MARY ZIMMER NURSE PRACTITIONER
NPI 1871042648
Nurse Practitioner - Family in Murphysboro, IL
About Mary Zimmer Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ZIMMER NURSE PRACTITIONER (NPI 1871042648) is an individual family provider in Murphysboro, Illinois, licensed in Illinois (209015208) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Sparta Community Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Zimmer Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Mary Zimmer reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pinckneyville, IL 62274
- Reassigned Medicare billing, Illinois enrollment
- 54 clinicians in this Medicare group
Sparta, IL 62286
- Reassigned Medicare billing, Illinois enrollment
- 51 clinicians in this Medicare group
Waterloo, IL 62298
- Reassigned Medicare billing, Illinois enrollment
- 51 clinicians in this Medicare group
Belleville, IL 62226
- Reassigned Medicare billing, Illinois enrollment
- 53 clinicians in this Medicare group
Granite City, IL 62040
- Reassigned Medicare billing, Illinois enrollment
- 54 clinicians in this Medicare group
Wood River, IL 62095
- Reassigned Medicare billing, Illinois enrollment
- 40 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Illinois enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sparta Community Hospital
Critical Access Hospitals · Sparta, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62966 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MURPHYSBORO, IL 62966
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Zimmer's NPI number?
The NPI number for Mary Zimmer is 1871042648. It was assigned to this individual provider in the NPPES registry on September 22, 2016.
Where is Mary Zimmer located?
Mary Zimmer practices at 628 N 14th St, Murphysboro, IL 62966. The listed phone number is (618) 687-2353.
What is Mary Zimmer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Zimmer enrolled in Medicare?
Yes. Mary Zimmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Zimmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Zimmer reassigns Medicare benefits to 7 organizations: Pinckneyville Community Hospital (Pinckneyville, IL), Sparta Community Hospital D/B/A Quality Healthcare Clinics (Sparta, IL), Waterloo Urgent Care Walk In Clinic Company (Waterloo, IL), Belleville Urgent Care Walk-In Clinic (Belleville, IL), Granite City Urgent Care Walk-In Clinic (Granite City, IL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Zimmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Zimmer affiliated with any hospitals?
According to CMS data, Mary Zimmer is affiliated with Sparta Community Hospital.
When was this NPI record last updated?
The NPPES record for Mary Zimmer was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Zimmer, NURSE PRACTITIONER · NPI 1871042648
Family physician in Murphysboro, Illinois. Individual provider, active in the CMS NPPES registry since September 22, 2016.
## Identity
- **NPI:** 1871042648 (Entity type: Individual)
- **Enumerated:** September 22, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209015208 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 628 N 14TH ST, Murphysboro, IL 62966-1807
- **Phone:** (618) 687-2353
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Pinckneyville Community Hospital (NPI 1689646523, Pinckneyville, IL); Sparta Community Hospital D/B/A Quality Healthcare Clinics (NPI 1114984226, Sparta, IL); Waterloo Urgent Care Walk In Clinic Company (NPI 1508471418, Waterloo, IL); Belleville Urgent Care Walk-In Clinic (NPI 1225694946, Belleville, IL); Granite City Urgent Care Walk-In Clinic (NPI 1659861953, Granite City, IL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 30, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1871042648) · Data from the CMS NPPES public registry.